Pain and psychological well-being of older persons living in
Pain and psychological well-being of older persons living in
Pain and psychological well-being of older persons living in nursing homes: an exploratory study in planning patient-centred intervention.
Authors:Tse Mimi; Leung Rincy; Ho SukiAffiliation:Mimi Tse PhD RN Assistant Professor School of Nursing The Hong Kong Polytechnic University Kowloon Hong KongRincy Leung BSN RN Registered Nurse Department of Health Hong KongSuki Ho BSN RN Clinical Instructor School of Nursing The Hong Kong Polytechnic University Kowloon Hong KongSource:Journal of Advanced Nursing (J ADV NURS) 2012 Feb; 68 (2): 312-21. (47 ref)Publication Type:journal article pictorial research tables/chartsLanguage:EnglishMajor Subjects:Gerontologic CareLong Term CareNursing Home Patients Psychosocial Factors In Old AgePain Therapy In Old AgePatient Centered CarePsychological Well-Being In Old AgeMinor Subjects:Activities of Daily Living; Aged; Aged 80 and Over; Analgesics Therapeutic Use; Clinical Assessment Tools; Coefficient Alpha; Convenience Sample; Cross Sectional Studies; Data Analysis Software; Depression; Descriptive Statistics; Educational Status; Female; Funding Source; Geriatric Assessment; Geriatric Depression Scale; Happiness; Health Status; Hong Kong; Human; Inpatients; Internal Consistency; Interviews; Loneliness; Male; Mann-Whitney U Test; Marital Status; Middle Age; Nursing Homes; P-Value; Pain Measurement; Personal Satisfaction; Psychological Tests; Quantitative Studies; Revised UCLA Loneliness Scale; Scales; Spearmans Rank Correlation Coefficient; Summated Rating Scaling; Test-Retest ReliabilityAbstract:tse m. leung r. & ho s. (2012) Pain and psychological well-being of older persons living in nursing homes: an exploratory study in planning patient-centred intervention. Journal of Advanced Nursing 68(2) 312-321. Abstract Aim. This article is a report on a study to examine the pain situation the use of oral analgesics and non-pharmacological strategies and the psychological well-being of older patients living in nursing homes; the relationships between pain and psychological well-being were also explored. Background. Pain is common among older adults world-wide and tends to be under-treated. Indeed the high prevalence of pain may further hinder the fulfilment of psychological needs in a Maslow hierarchy of needs model. Method. It was a quantitative cross-sectional study; older adults from six nursing homes were invited to join the study in 2007-2009 with a response rate of 100%. Pain was measured using the Geriatric Pain Assessment happiness using the Subjective Happiness Scale life satisfaction using the Life Satisfaction Index A Form loneliness using the Revised UCLA Loneliness Scale and depression was measured using the Geriatric Depression Scale. Results. A convenience sample of 302 older patients (213 females and 89 males aged from 60 to 101 mean age of 8499) joined the study. The majority of them had experienced pain in the previous 3 months with a pain intensity of 451 on a 10-point scale. Pain sites were mainly the knee back shoulder and musculoskeletal areas. Only 50% of them took oral analgesics and 70% used non-pharmacological measures for pain relief. The pain group reported significantly more loneliness and depression when compared with their no-pain counterparts. Conclusions. As the number of older patients increases so does the need for alternative accommodation; thus pain management education is urgently needed for staff and nursing home residents.Journal Subset:Core Nursing; Europe; Nursing; Peer Reviewed; UK & IrelandSpecial Interest:Advanced Nursing Practice; Gerontologic Care; Pain and Pain Management; Psychiatry/PsychologyInstrumentation:Geriatric Depression Scale (GDS) [Chinese] Subjective Happiness ScaleGeriatric Pain AssessmentLife Satisfaction Index A Form [Chinese] Revised UCLA Loneliness Scale [Chinese] ISSN:0309-2402MEDLINE Info:PMID: 21679226 NLM UID: 7609811Grant Information:CADENZA: A Jockey Club Initiative for Seniors The Hong Kong Jockey Club Charities Trust.Entry Date:20120127Revision Date:20150605DOI:http://dx.doi.org/10.1111/j.1365-2648.2011.05738.x
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